An yi nasarar amfani da hanyoyi daban-daban na huda-baki don maganin ƙwanƙwasa ƙwanƙwasa (PVP) da kyphoplasty na percutaneous (PKP).
Percutaneous vertebroplasty (PVP)
Percutaneous vertebroplasty (PVP) magani ne ga marasa lafiya da guda ɗaya ko fiye da alamun kasusuwa na kashin baya da ke haifar da ciwace-ciwacen ƙashi, osteoporosis ko rauni. A cikin PVP, an saka allurar biopsy na kashi a cikin kashin baya da aka karye a karkashin maganin sa barci a cikin mai haƙuri; an yi allurar kashi simintin da aka yi da polymethylmethacrylate (PMMA) ta allura, sannan kuma nan da nan taimako na bayyanar cututtuka kamar wahalar tafiya ko ƙananan ciwon baya. Hanya guda ɗaya ta PVP tana buƙatar kawai sa'o'i 2 na lokacin magani da 2 hours na hutun gado bayan tiyata; ana iya yin shi ta hanyar incision na fata na 5-mm don shigar da kowane allurar biopsy na kashi, yana da ƙananan abubuwan da suka faru na mummunan haɗari, ana iya yin su ba tare da shirye-shiryen preoperative na musamman ko kulawar gaggawa ba, kuma kawai cikakken contraindications shine kamuwa da cuta da ba za a iya sarrafa su ba. Shekaru 90 tare da tabbataccen sakamako.
Percutaneous kyphoplasty (PKP)
Percutaneous kyphoplasty (PKP) a halin yanzu magani ne mai inganci kuma ana amfani dashi sosai don karyewar kasusuwa na kashin baya (OVCF), wanda galibi ana yin shi a ƙarƙashin maganin sa barcin gida kuma marasa lafiya suna jurewa da kyau. Nazarin farko ya nuna sakamako mai ban sha'awa na asibiti game da jin zafi na gaggawa da kuma ingantaccen aiki, musamman a cikin tsofaffi. Duk da haka, har yanzu akwai adadi mai yawa na marasa lafiya waɗanda ba su gamsu da sakamakon bayan tiyata ba. Dangane da waɗannan marasa lafiya, suna kokawa game da rashin gamsuwa ko canji a cikin jin daɗin jin daɗin su ko ma zafi mafi muni, wanda zai iya nuna matsi na ci gaba ko raguwa a cikin kashin baya da aka bi da su. Nazarin da ya gabata ya nuna cewa intravertebral vacuum clefting (IVC) a cikin m OVCF ba wani sabon abu ba ne kuma ana la'akari da shi wani muhimmin abu mai mahimmanci don ciwon baya mai tsanani da rushewar vertebral mai tsanani, wanda zai iya zama babban dalilin rashin jin dadi bayan PKP.
Menene kyphoplasty na balloon?
Balloon kyphoplasty hanya ce mai ƙaranci da aka tsara don gyara ɓarnawar ƙwanƙwasa vertebral (VCF) ta hanyar ragewa da daidaita karaya. Yana maganin karayar kashin baya da ke haifar da osteoporosis, ciwon daji ko raunuka mara kyau.
Yadda Balon Osteoplasty ke Aiki
Ƙirƙirar sarari don balloon
Likitan fiɗa zai yi hanyar shiga cikin karyewar kashin baya ta amfani da kayan aiki mara ƙarfi. Ana jagorantar ƙaramin balloon ta cikin kayan aiki zuwa cikin kashi.
Buga balloon
Da zarar an samu matsayi, ana hura balloon a hankali don ɗaga ƙashin da ya ruɗe a hankali zuwa matsayinsa na yau da kullun.
Cire balloon
Lokacin da kashi ya kasance a daidai matsayi, likitan fiɗa ya cire balloon. Wannan yana barin bayan wani fanko-ko rami-a cikin jikin kashin baya.
Cike ɓarna na kashin baya
Don hana kashi daga sake rushewa, ɓoyayyen yana cike da siminti na orthopedic.
Samar da simintin gyare-gyare na ciki
Da zarar an saita, simintin yana samar da simintin simintin gyare-gyare a cikin jikin kashin baya wanda ke daidaita kashi. Don tabbatar da cikakken kashin, ana yin aikin a wasu lokuta a bangarorin biyu na jikin kashin baya.
Babban fa'idodin kyphoplasty na balloon sun haɗa da:
Wani ɗan gajeren lokacin tiyata; Hanyar yawanci tana ɗaukar kusan rabin sa'a kowace matakin kashin baya.
Ana iya yin aikin kyphoplasty sau da yawa tare da maganin sa barci na gida. Koyaya, wasu marasa lafiya, dangane da lafiyarsu gabaɗaya da tsananin karaya (s) na kashin baya na iya buƙatar maganin sa barci gabaɗaya.
Marasa lafiya suna iya tafiya da komawa ayyukansu na yau da kullun bayan tiyata.
Ana iya yin kyphoplasty a cikin cibiyar tiyata na gaggawa (ASC), asibiti, ko cibiyar tiyatar kashin baya.
Yawancin marasa lafiya ana sallame su gida a rana ɗaya da tsarin aikin kyphoplasty. Ana iya ba da shawarar zaman asibiti na dare ga wasu marasa lafiya dangane da abubuwa da yawa, kamar matsalolin kiwon lafiya tare (misali, haɗarin cututtukan zuciya).
Tsawon Tsayawa da Farfaɗowa
Likitan ku zai ba ku takamaiman umarnin bayan tiyata, amma gabaɗaya, za ku yi kusan awa ɗaya a cikin dakin farfadowa bayan aikin. A can, ma'aikacin jinya yana lura da mahimmancin alamun ku, wanda ya haɗa da ciwon baya.
Yawancin marasa lafiya ana sallama daga ASC ko asibiti a cikin sa'o'i 24 na aikin kyphoplasty na balloon. A alƙawarin bin aikin tiyata, likitanku zai tantance ci gaban warkewar ku don sanin ko yakamata ku iyakance wasu ayyuka (misali, dagawa). Yawancin marasa lafiya suna ba da rahoton ci gaba mai mahimmanci a cikin ciwo, motsi da kuma ikon yin ayyukan yau da kullum-don haka ƙila ba za ku buƙaci yin wani gyare-gyare ga matakin aikin ku na jiki ba.
